When you cannot rely on the spoken word to document a client's pain, you need to use behavioral characteristics instead. These include which of the following?
1. intensity of the client's reaction to pain
2. client's self-evaluation
3. restlessness or agitation in a comatose client or crying in a neonate
4. crying in a comatose or neonate client
ANS: 3
You might also like to view...
The nurse admits a child with a diagnosis of acute rheumatic fever to the acute care pediatric unit. When collecting admission data, the nurse questions the child for a recent history of which of the following?
1. Mild-to-severe sore throat 2. Shortness of breath 3. Normal temperature 4. Edematous painful joints
The nurse is assessing a patient. Which data are considered data from a primary source?
a. The patient's spouse tells the nurse the patient seems upset. b. The patient reports right lower quadrant pain. c. The physician describes the patient as being overanxious. d. The lab report shows an elevated white cell count.
Children between the ages of 6 months and 6 years are at risk for lead poisoning. Which is correct?
a. Lead enters the body through contami-nated foods. b. Signs and symptoms are sudden in onset. c. Lead always affects the neurological sys-tem. d. Lead can lower intelligence and cause learning problems.
A college student said, "Most of the time I'm happy and feel good about myself. I have learned that what I get out of something is proportional to the effort I put into it." Which number on this mental health continuum should the nurse select?
Mental Illness Mental Health 1 2 3 4 5 a. 1 b. 2 c. 3 d. 4 e. 5